Kourosh Dastgheib in Garden Grove - Ophthalmology
Kourosh Dastgheib - NPI 1578523593
Kourosh Dastgheib is a Ophthalmology in Garden Grove, California. Kourosh Dastgheib practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Kourosh Dastgheib is 1578523593. The last update date is 2018-12-04.
Kourosh Dastgheib's current location address is 12665 Garden Grove Blvd Ste 301, Garden Grove, California. You can contact this provider via phone number 9095816732 and fax number 9095816737. The mailing address for Kourosh Dastgheib is 12665 Garden Grove Blvd Ste 301, Garden Grove, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kourosh Dastgheib |
|---|---|
| Address | 12665 Garden Grove Blvd Ste 301, Garden Grove, California |
| Phone Number | 9095816732 |
| Fax Number | 9095816737 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1578523593 |
|---|---|
| Provider Enumeration Date | 2006-03-24 |
| Last Updated Date | 2018-12-04 |
Provider Mailing Address Detail
| Address | 12665 Garden Grove Blvd Ste 301 |
|---|---|
| City | Garden Grove |
| State | California (CA) |
| Post Code | 928431917 |
| Phone Number | 9095816732 |
| Fax Number | 9095816737 |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmology |
|---|---|
| Taxonomy | 207W00000X |
| Licence No | A85637 |
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Definition: An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4531539 | ECFMG | ||
| 100967496 | PA | -- |
Post Comment/ Review Below
What is the Kourosh Dastgheib's 1578523593?
The Kourosh Dastgheib's NPI (National Provider Identifier) Number is 1578523593. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Kourosh Dastgheib is physically located?
The Kourosh Dastgheib is situated at the following address: 12665 Garden Grove Blvd Ste 301, Garden Grove, CA 928431917.
What is Kourosh Dastgheib's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kourosh Dastgheib is Ophthalmology, and the taxonomy classification code that categorizes this area of expertise is 207W00000X.
On what date did Kourosh Dastgheib receive its 1578523593 assignment from the Centers for Medicare & Medicaid Services?
The Kourosh Dastgheib was assigned its 1578523593 on 2006-03-24, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Kourosh Dastgheib most recently updated or revised?
The information pertaining to Kourosh Dastgheib, including its address, specialty, and other relevant details, was last updated or revised on 2018-12-04.